- Humana (Columbus, OH)
- …pharmacy career to the next level by driving real impact and shaping the future of claims management? As a Senior Pharmacy Claims Professional, you will play ... and take the lead on building solutions that make a difference! The Senior Pharmacy Claims Professional analyzes and answers inquiries regarding pharmacies'… more
- State of Minnesota (St. Paul, MN)
- **Working Title: Workers' Compensation Claims Management Specialist Intermediate/ Senior ** **Job Class: Workers' Compensation Claims Management Specialist ... $85,232 / annually + **Salary Range - Workers' Compensation Claims Management Specialist Senior :** $29.78 - $43.82...cases and provide cost estimates of various solutions; settle claims where feasible; pursue subrogation recovery ; and… more
- Extra Space Storage (Salt Lake City, UT)
- …proactive communication to facilitate seamless recovery from losses and expedite the claims process . This role will require some travel to property loss ... manner and meeting established deadlines. + Implement strategies to expedite the claims process while maintaining accuracy and compliance with company policies.… more
- HUB International (Frisco, TX)
- …firm that delivers commercial insurance claim preparation, FEMA Public Assistance recovery , hazard mitigation assistance, disaster preparedness, and financial grant ... recovery funding services. Formed in 2014, DRS has been...services. **About the Position:** An ideal candidate for the Senior Managing Consultant position in DRS' Commercial Insurance Practice… more
- Wells Fargo (Tempe, AZ)
- **About this role:** Wells Fargo is seeking an Analytics Senior Manager in the Inclearing/ACH team within Fraud & Claims Management (FCM) as part of Consumer and ... and execute analytics efforts or results-oriented intelligence that support CSBBO-Fraud & Claims Management in order to determine current fraud trends and develop… more
- Allied Solutions (Plano, TX)
- …policy; + Determine the appropriate application of coverage and damage to identify those claims with the highest amount of recovery potential for EZ Claim Total ... is responsible for the initial setup and investigation of claims prior to the assignment of the claim to...documentation for claim calculation/adjudication. Associates in this position must process and investigate a high volume of incoming claim… more
- NJM Insurance (Trenton, NJ)
- … Level - $73+ annually based on experience Responsibilities: + Receive and process subrogation claims , seeking recoveries from adverse parties and/or their ... liability and/or damage disputes for successful recoveries. Efficiently credit recovery checks and issue deductible payments to our insured....II - Minimum 2 years with Property Damage, Auto Claims , or Subrogation experience. + Senior Level… more
- Upstone Materials (Wilsall, MT)
- …with damaged to network property in order to support national highways with cost recovery . Main Responsibilities As a DNP Claims Manager, you will provide ... Maintenance & Response Contract). You will manage the DNP process including Red & Green Claims and...of accurate and timely commercial reports and advice to senior management team whilst monitoring contracts and reporting against… more
- SCI Shared Resources, LLC (Whittier, CA)
- …explore alternatives, and troubleshoot situations. Elevates problems up to the Account Claims Specialist II when unable to resolve. Process funeral insurance ... party insurance vendor (American Funeral Financial) to ensure timely payment. Submit claims for Batesville rebates, process payments, research credit balances,… more
- Travelers Insurance Company (Centennial, CO)
- …with business partners to achieve and sustain quality results. + Evaluates all claims for recovery potential; directly handles recovery efforts and/or ... assigned Specialty Liability related Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life...engage and directs Company resources for recovery efforts. + Other duties as assigned. + Perform… more
- Travelers Insurance Company (Irvine, CA)
- …with business partners to achieve and sustain quality results. + Evaluates all claims for recovery potential; directly handles recovery efforts and/or ... assigned General Liability related Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life...engage and directs Company resources for recovery efforts. + In order to perform the essential… more
- The Hartford (Hartford, CT)
- …of your employment, you must obtain and maintain a State Adjuster's License to process Property & Casualty Insurance Claims in the states supported by your ... Sr Representative Claims - CH08BEConsultant Claims - CH08CE...we help shape the future. The General Liability Litigation Senior Claim Representative or Consultant is accountable for delivering… more
- Hawaiian Electric (Honolulu, HI)
- Senior Digital Forensic Analyst Date:Sep 9, 2024 Location: Honolulu, Hawaii (HI), US, 96814 Company: hawaiianel We recognize our competitive advantage -- our people. ... stored information for internal or external investigations, incident response, claims , litigation and regulatory proceedings for the company ESSENTIAL FUNCTIONS:… more
- CareFirst (Baltimore, MD)
- …recuperation of losses to CareFirst through the clinical review of medical records and claims , resulting in the savings and/or recovery of funds. Responsible for ... documentation regarding findings in accordance with departmental standards. + Process all assigned claims or batch case...with departmental standards. + Process all assigned claims or batch case reviews within departmental and communicated… more
- Turner & Townsend (Boston, MA)
- …the world. **Job Description** **Turner & Townsend** has an exciting opportunity for a ** Senior Risk Manager** to join our USA Infrastructure team, and work on a ... run a comprehensive schedule and cost qualitative risk assessment (QCRA & QSRA) process is delivered. + Establish integration of the risk management function within… more
- Cambridge Savings Bank (Waltham, MA)
- …external contacts including law enforcement. + Expertise in investigative tactics, fraud analysis, claims , and recovery process . + Experience with gathering, ... POSITION: Senior Fraud Investigator Summary: At Cambridge Savings Bank,...for project work including system demonstrations, rollout testing, and process review recommendations. + Perform additional duties as required.… more
- The County of Los Angeles (Los Angeles, CA)
- SENIOR DISASTER SERVICES ANALYST Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4320334) Apply SENIOR DISASTER SERVICES ANALYST Salary ... and guidance to stakeholders on best practices for disaster preparedness, response and recovery in a real incident. + Participate in the development of comprehensive… more
- New York State Civil Service (Albany, NY)
- NY HELP Yes Agency Mental Health, Office of Title Senior Health Care Fiscal Analyst/ Health Care Fiscal Analyst Trainee, Central Office; Occupational Category ... Minimum Qualifications:Transfer Opportunity:Candidates must have permanent status as a Senior Health Care Fiscal Analyst, Grade 18, and be...case notes to document changes in the desk audit process ; develop and test new audit tools and provide… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …that we serve through our Healthsource blog: https://healthsource.premera.com . As a ** Senior Manager of the Special Investigation Unit (SIU)** , you will lead ... and communication of fraud prevention, detection, investigation, reporting, and recovery strategies designed to support organizational goals and objectives. +… more
- Mass Markets (IA)
- …(TAPS Schedule 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider ... POSITION OVERVIEW SENIOR SYSTEMS ADMINISTRATOR MCI is a rapidly growing,...SYSTEMS ADMINISTRATOR MCI is a rapidly growing, industry-leading business process outsourcing and software development organization, and we are… more